| Regimental number | 6189 |
| Place of birth | Stafford England |
| Religion | Church of England |
| Occupation | Waggon builder |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs B Heaton, 54 Sneyd Street, Colridge, Stafford, England |
| Enlistment date | 17 April 1915 |
| Rank on enlistment | WHLR |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Company, Australian Army Service Corps |
| Fate | Returned to Australia 15 May 1919 |
